Kyle D. Waters, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10671 Issued in GA

Practice address

SC House Calls Inc.
111 Doctors Cir
Columbia, SC 29203-1705

Phone

(800) 491-0909

NPI assigned

Sep 17, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kyle.waters.1@7602.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SC House Calls Inc

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1518048859

  GA

  Medicare reassignment Care Compare group NPD
• University Medical Group LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1336413954
  NPD
• University Medical Group LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1871885806
  NPD
• University Primary Care

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1124231808
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1033889381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC.",
            "address_2": "111 DOCTORS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031705",
            "telephone_number": "800-491-0909",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SC HOUSE CALLS INC.",
            "address_2": "111 DOCTORS CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292031705",
            "telephone_number": "800-491-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "KYLE",
        "middle_name": "D.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-17",
        "last_updated": "2024-05-13",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taikeymah Ciara Washington, APRN
• Taylor A Washington
• Richard J. Wassermann, M.D.
• Christine Ellis Waters, OT
• Katherine Guest Waters, DPT
• Tamara Lynette Waters
• Carroll B Watford, MD
• Allison Watkins, NP-C
• Amy Marion Watkins, LPC, CACII, LPCS
• Carolyn Barnette Watkins, M.A.,R.D.,R.N.,C.D.E

• Physician Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.